Related Experiment Videos
[Transanal endoscopic microsurgery: a forgotten minimally invasive technique]
S Benoist1, N Taffinder, S Gould
1Service de Chirurgie Générale et Digestive, Hôpital Lariboisière, Paris France.
Gastroenterologie Clinique Et Biologique
|July 13, 2001
Summary
Transanal endoscopic microsurgery (TEM) is a safe and feasible technique for benign rectal tumors. TEM
Area of Science:
- Gastroenterology
- Surgical Oncology
- Colorectal Surgery
Context:
- Transanal endoscopic microsurgery (TEM) is a minimally invasive surgical technique.
- Rectal tumors present challenges in terms of complete excision and recurrence rates.
Purpose:
- To evaluate the feasibility, morbidity, and recurrence rates of TEM for benign and malignant rectal tumors.
- To determine the efficacy of TEM in achieving complete tumor excision and long-term outcomes.
Summary:
- TEM demonstrated high feasibility and complete excision rates (98%) for rectal tumors.
- Morbidity was 18% with a mean hospital stay of 3.9 days.
- TEM is effective for benign adenomas but has limited application in rectal cancer, particularly for T2 tumors.
Impact:
- TEM offers a valuable management option for sessile adenomas in the mid and upper rectum.
- The study highlights the limitations of TEM for rectal cancer, suggesting its use in carefully selected cases.
- Further research may explore refined patient selection criteria for TEM in rectal cancer management.